EP1181069B1 - Apparatus and method for aerosolising a powder pharmaceutical composition - Google Patents
Apparatus and method for aerosolising a powder pharmaceutical composition Download PDFInfo
- Publication number
- EP1181069B1 EP1181069B1 EP00936239A EP00936239A EP1181069B1 EP 1181069 B1 EP1181069 B1 EP 1181069B1 EP 00936239 A EP00936239 A EP 00936239A EP 00936239 A EP00936239 A EP 00936239A EP 1181069 B1 EP1181069 B1 EP 1181069B1
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- EP
- European Patent Office
- Prior art keywords
- valve
- receptacle
- propellant
- pharmaceutical formulation
- gas stream
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M15/00—Inhalators
- A61M15/0065—Inhalators with dosage or measuring devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M15/00—Inhalators
- A61M15/0028—Inhalators using prepacked dosages, one for each application, e.g. capsules to be perforated or broken-up
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M11/00—Sprayers or atomisers specially adapted for therapeutic purposes
- A61M11/06—Sprayers or atomisers specially adapted for therapeutic purposes of the injector type
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M15/00—Inhalators
- A61M15/0001—Details of inhalators; Constructional features thereof
- A61M15/0021—Mouthpieces therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M15/00—Inhalators
- A61M15/0028—Inhalators using prepacked dosages, one for each application, e.g. capsules to be perforated or broken-up
- A61M15/003—Inhalators using prepacked dosages, one for each application, e.g. capsules to be perforated or broken-up using capsules, e.g. to be perforated or broken-up
- A61M15/0033—Details of the piercing or cutting means
- A61M15/0035—Piercing means
- A61M15/0036—Piercing means hollow piercing means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2202/00—Special media to be introduced, removed or treated
- A61M2202/06—Solids
- A61M2202/064—Powder
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/07—General characteristics of the apparatus having air pumping means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/82—Internal energy supply devices
- A61M2205/8218—Gas operated
- A61M2205/8225—Gas operated using incorporated gas cartridges for the driving gas
Definitions
- the present invention relates generally to the field of drug delivery, and in particular to the pulmonary delivery of drugs. More specifically, the invention relates to the aerosolization of pharmaceutical formulations for inhalation by a patient.
- Effective drug delivery to a patient is a critical aspect of any successful drug therapy.
- Oral drug delivery of pills, capsules, elixirs, and the like, is perhaps the most convenient method, but many drugs are degraded in the digestive tract before they can be absorbed. Such degradation is a particular problem with modem protein drugs which are rapidly degraded by proteolytic enzymes in the digestive tract.
- Subcutaneous injection is frequently an effective route for systemic drug delivery, including the delivery of proteins, but enjoys a low patient acceptance.
- pulmonary drug delivery relies on inhalation of a drug dispersion or aerosol by the patient so that the active drug within the dispersion can reach the distal (alveolar) regions of the lung. It has been found that certain drugs are readily absorbed through the alveolar region directly into blood circulation. Pulmonary delivery is particularly promising for the delivery of proteins and polypeptides which are difficult to deliver by other routes of administration. Such pulmonary delivery is effective both for systemic delivery and for localized delivery to treat diseases of the lungs.
- Pulmonary drug delivery can itself be achieved by different approaches, including liquid nebulizers, metered dose inhalers (MDI's) and dry powder dispersion devices.
- Dry powder dispersion devices are particularly promising for delivering protein and polypeptide drugs which may be readily formulated as dry powders. Many otherwise labile proteins and polypeptides may be stably stored as lyophilized or spray-dried powders by themselves or in combination with suitable powder carriers.
- the ability to deliver proteins and polypeptides as dry powders is problematic in certain respects.
- the dosage of many protein and polypeptide drugs is often critical so it is necessary that any dry powder delivery system be able to accurately, and precisely (repeatedly) deliver the intended amount of drug.
- U.S. Patent Nos. 5,785,049 and 5,740,794 describe exemplary apparatus and methods for aerosolizing a powdered medicament held within a receptacle. These apparatus and methods utilize a high pressure gas stream to extract a powdered medicament from a receptacle and to disperse the powder into the gas stream to produce an aerosol. Such apparatus and methods have proven to be generally effective in producing aerosolized medicaments for delivery to the lungs.
- U.S. Patent No. 4,534,343 shows a typical metered dose inhaler where medication under pressure is stored in a canister.
- the drug is held in the pressurized liquid propellant that is held within the canister.
- the drug must be stable in this condition for the life of the system. This is undesirable for many labile medicaments such as proteins and peptides which may not be stable in this liquid for long periods of storage.
- Document US 4,114,615 discloses both a device for aerosolizing a liquid and a device for aerosolizing a powder composition.
- the invention provides alternative systems, devices and methods to aerosolize powder pharmaceutical formulations.
- alternative schemes are provided to assist in the delivery of powder pharmaceutical formulations to the lungs.
- the invention provides exemplary systems, methods and apparatus for aerosolizing powder pharmaceutical formulations that are typically contained within a receptacle.
- the invention utilizes a propellant's energy to aerosolize a powder pharmaceutical formulation.
- the powder pharmaceutical formulation is stored separately from the propellant until aerosolized to prolong the life of the powder pharmaceutical formulation.
- the pharmaceutical formulation is in powder form, with the energy of the propellant being employed to place the formulation in aerosolized form so that it may be inhaled and delivered to the lungs.
- a vapor phase portion of a propellant that was previously in equilibrium with a liquid phase portion may be used to produce the aerosol.
- a metered amount of a pressurized gas is provided which was previously in equilibrium with a liquid.
- the pressurized gas may comprise a vapor phase portion of a propellant which was previously in equilibrium with a liquid phase portion of the propellant.
- the metered amount of gas is released to create a high pressure gas stream.
- This gas stream is then flowed through an aerosolization mechanism to extract the powder pharmaceutical formulation from the receptacle and to disperse the pharmaceutical formulation within the gas stream to form a aerosol, as claimed in claim 1.
- the propellant utilized by the method may comprise HFCs (hydrofluorocarbon), and in particular HFAs (hydrofluoroalkanes), such as HFC 134a or HFC 227ea.
- HFCs hydrofluorocarbon
- HFAs hydrofluoroalkanes
- Other propellants that may be used include CO 2 and CFCs (chlorofluorocarbons) 11, 12, and 114. Since CFCs have been identified as substances which deplete the stratospheric ozone layer, HFCs or HFAs are preferred.
- the pressurized gas is preferably metered to a volume in the range from about 0.5 ml to about 2.0 ml.
- the pressure of the metered gas is preferably in the range from about 2,76 bar (40 psig) to about 8,27 bar (120 psig), and more preferably from about 3,45 bar (50 psig) to about 5,52 bar (80 psig).
- the pressure of the metered gas is preferably in the range from about 55,2 bar (800 psig) to about 82,7 bar (1200 psig).
- the gas is preferably allowed to flow into a metering chamber. Once filled, the chamber is closed to hold the pressurized gas within the chamber. To release the pressurized gas, a valve is opened to allow the gas to rapidly escape from the metering chamber.
- the invention further provides an exemplary apparatus for aerosolizing a powder pharmaceutical formulation held within a receptacle.
- the apparatus comprises a reservoir to hold a propellant having a liquid phase portion and a vapor phase portion.
- a metering chamber is positioned to receive and meter an amount of the vapor phase portion of the propellant.
- a release valve is provided to release the metered propellant to form a high pressure gas stream.
- the apparatus further includes an aerosolization mechanism to receive the high pressure gas stream, to extract the powder pharmaceutical formulation from the receptacle and to disperse the powder within the gas stream to form an aerosol, according to claim 5.
- a metering valve is disposed between the reservoir and the metering chamber.
- the metering valve is movable to an open position to allow the vapor phase portion of the propellant to enter into the metering chamber.
- the metering valve is preferably moved to a closed position.
- the metering valve may comprise a poppet valve which is pushed to move the valve to the open position. Once the chamber is filled, the poppet valve is released to allow the valve to move to the closed position.
- a lever may be provided which is movable to close the release valve and to open the metering valve.
- the metering valve closes while the release valve remains closed.
- a fire button is provided to open the release valve and allow the metered gas to escape.
- a housing is provided to hold the reservoir, the metering chamber and the aerosolization mechanism.
- a capture chamber is operably coupled to the housing. The capture chamber includes a mouthpiece through which the aerosolized powder may be withdrawn.
- the system comprises a source of propellant which includes a vapor phase portion in equilibrium with a liquid phase portion.
- a pharmaceutical formulation is dispersed within at least a portion of the vapor phase portion of the propellant which has been separated from the liquid phase portion.
- a portion of a vapor propellant may be used as an energy source to aerosolize a pharmaceutical formulation.
- the invention preferably utilizes a high-pressure gas stream to extract the powder from the receptacle and to aerosolize the powder so that it may be inhaled by a patient.
- aerosolization mechanisms which may be utilized with the invention include those described in U.S. Patent Nos. 5,785,049 and 5,740,794, and in copending U.S. provisional patent application serial number 60/087,929, filed June 4, 1998.
- At least one of the specific embodiments described hereinafter utilizes an aerosolization mechanism as well as other related components which are constructed in a manner similar to those described in copending U.S. provisional patent application serial number 60/087,929.
- other types of aerosolization mechanisms which require the use of a high pressure gas stream to extract a powder from a receptacle and to entrain the powder within the gas stream may be utilized.
- the invention utilizes energy from a propellant to aerosolize a powder pharmaceutical formulation.
- the propellant may include a vapor phase portion in equilibrium with a liquid phase portion. Some of the vapor phase portion may be extracted and employed as an energy source to aerosolize the powder pharmaceutical formulation.
- the extracted vapor propellant may be employed to extract a powder from a receptacle, to deagglomerate the powder and to place the powder in a gas stream in aerosolized form.
- System 10 comprises a reservoir 14 which is filled with a propellant 16 having a liquid phase portion 18 and a vapor or gas phase portion 20. Extending from a top end of reservoir 14 is a line 22 to which is coupled a metering valve 24. Also coupled to metering valve 24 is a metering chamber 26. Disposed at the other end of metering chamber 26 is a release valve 28 to which is coupled a line 30. Line 30 extends to an aerosolization mechanism 32 which interacts with receptacle 12 to extract and aerosolize the powder contained within receptacle 12.
- Propellant 16 is selected so that vapor phase portion 20 is under pressure.
- the pressurized propellant enters into metering chamber 26.
- Release valve 28 is closed to prevent the pressurized propellant from proceeding into aerosolization mechanism 32.
- metering chamber 26 is filled, metering valve 24 is closed to retain a metered amount of pressurized gas within metering chamber 26.
- metering chamber 26 is filled with a metered amount of gas which is at a pressure determined by the type of propellant as well as the temperature of metering chamber 26.
- aerosolization mechanism 32 When it is desired to aerosolize the powder, aerosolization mechanism 32 is inserted into receptacle 12 to gain access to the powder. Release valve 28 is then rapidly opened to abruptly release the metered gas within metering chamber 26. The metered gas passes through line 30 and into aerosolization mechanism 32 which extracts the powder from receptacle 12 and entrains the powder in a high pressure gas stream to form an aerosol. The aerosol may be captured in a capture chamber so that it will be available for inhalation by a patient.
- system 10 is configured to operate simply by releasing a metered amount of pressurized gas which was obtained by extracting a vapor phase portion of a propellant that was previously in equilibrium with a liquid phase portion.
- System 10 is configured to meter a fixed volume of the gas at a fixed pressure.
- aerosolization mecharusm 32 is able to consistently receive a known volume of gas which is at a known pressure so that it may optimally extract and aerosolize the powder within receptacle 12
- system 10 is easy to operate because it only requires the opening of metering valve 24 when metering the gas, and the opening of release valve 28 to aerosolize the powder.
- system 10 may be reduced by utilizing a propellant. Typically, only a small volume of propellant is needed so that the size of reservoir 14 may be made relatively small. Such a configuration reduces the overall size of system 10 so that it will be easy and convenient for a user to carry and store. Typically, system 10 will have a longer life than comparable MDI devices because system 10 employs only a vapor phase portion of the propellant to aerosolize the powder rather than the liquid phase as with MDI devices. Further, system 10 is more simple to manufacture and easier to use (because the patient is not required to shake the propellant) than comparable MDI devices since it does not require a drug to be suspended within the liquid phase portion of the propellant.
- propellants that may be utilized with system 10 include HFA or HFC, such as hydrofluorocarbon 134a (HFC-134a, 1,1,2-tetrafluoroethane) and hydrofluorocarbon 227ea (HFC-227ea, 1,1,1,2,3,3,3-heptafluoropropane).
- HFA hydrofluorocarbon 134a
- HFC-227ea hydrofluorocarbon 227ea
- propellants are known in the art and are commercially available from the Minnesota Mining & Manufacturing Co. and Dupont.
- Such propellants are particularly useful in that they do not utilize CFCs.
- Other propellants that may be used with the invention include CO 2 CFCs, and the like.
- Apparatus 34 comprises a base unit 36 and a capture chamber 38 which is removably attached to base unit 36.
- Capture chamber 38 is configured to slide over base unit 36 to reduce the overall size of apparatus 34 during storage and to provide a degree of protection to the components within base unit 36.
- Capture chamber 38 also includes a mouthpiece 40 that is rotatable between an open position and a closed position. During aerosolization, mouthpiece 40 is in the closed position as illustrated in Fig. 2. When the patient is ready to inhale the aerosolized medicament, mouthpiece 40 is rotated 180 degrees to the open position where the patient may place his mouth over the mouthpiece and inhale the powdered medicament from capture chamber 38.
- base unit 36 does not require a cylinder to compress air from a large volume and does not require a lever which fits the patient's hand to provide the energy for compressing the gas. Hence, base unit 36 may have its size reduced.
- base unit 36 may have a height that is in the range from about 8 cm to 12 cm.
- Capture chamber 38 may have a height in the range from about 9 cm to about 13 cm.
- base unit 36 includes an opening 42 into which a receptacle containing a powdered medicament is inserted.
- Base unit 36 also includes a fire button 44 which is pressed to pierce the receptacle and to release a volume of pressurized gas to aerosolize the medicament in the receptacle as described hereinafter.
- a release button 46 is provided to allow the receptacle to be removed from opening 42 after the medicament has been aerosolized.
- Base unit 36 further includes a lever 48 which may be operated to meter an amount of pressurized gas as described hereinafter.
- base unit 36 Disposed within base unit 36 is an aerosolization mechanism 50 which is employed to extract a medicament from a receptacle 52, to entrain the medicament within a high pressure gas stream, and to deliver the aerosolized medicament into capture chamber 38.
- Base unit 36 also includes a carriage assembly 54 which moves receptacle 52 to engage aerosolization mechanism 50 when fire button 44 is pressed. Aerosolization mechanism 50, carriage assembly 54, and their related components are constructed essentially identical to those described in copending application number 60/087,929. As such, their manner of construction will only be briefly described in this application.
- receptacle 52 is inserted into opening 42 (see Fig. 2) as previously described.
- Fire button 44 is then pushed to engage receptacle 52 with aerosolization mechanism 50. More specifically, when fire button 44 is pushed, gear teeth 56 are pivoted about a pivot pin 58, causing a lifter 60 of carriage assembly 54 to move receptacle 52 toward aerosolization mechanism 50.
- a pointed tip 62 and side punches 64 pierce through receptacle 52 and enter into the receptacle.
- Depression of fire button 44 also operates a valve 66 to allow for the release of a metered volume of high pressure gas into aerosolization mechanism 50 so that the powder within receptacle 52 may be aerosolized. More specifically, depression of fire button 44 causes a valve actuator 68 of an actuator arm 70 to be released from an over center position, thereby unlocking valve 66.
- valve 66 Once valve 66 is unlocked, the metered amount of high pressure gas within base unit 36 causes valve 66 to "pop open.” More specifically, the release of valve actuator 68 causes the metered amount of high pressurized gas to come into contact with the underside of the diaphragm 72 causing a valve seat 74 to be lifted from a passage 76. In this manner, the propellant is allowed to flow through passage 76 and into aerosolization mechanism 50. The high pressurized gas then extracts the powdered medicament from receptacle 52, deagglomerates the powdered medicament and disperses the powdered medicament into capture chamber 38 as previously described. Hence, to operate apparatus 34, the user simply inserts receptacle 52 and then presses fire button 44 which will cause the aerosolized medicament to be introduced into capture chamber 38 where it may be withdrawn through mouthpiece 40.
- Base unit 36 includes a reservoir unit 78 which is constructed of a bottom member 80 and a top member 82.
- Bottom member 80 is also shown in Fig. 9, and top member 82 is shown in Figs. 10A and 10B.
- Bottom member 80 includes an opening 84 and top member 82 includes an opening 86.
- openings 84 and 86 together form a cavity 88 which holds the propellant.
- top member 82 includes groove 90 for holding an O-ring seal 92 so that the propellant does not escape from cavity 88.
- Cavity 88 is configured such that it may hold a liquid phase portion of the propellant in equilibrium with a vapor phase portion.
- the vapor phase portion of the propellant extends into passage 94 where it is prevented from escaping by a metering valve 96.
- metering valve 96 includes a housing 98 which is received into an opening 100 of bottom member 80 (see Fig. 9). Housing 98 has a central passage 102 which communicates with passage 94 of bottom member 80. As best shown in Figs. 3 and 3A, a valve poppet 104 is positioned within passage 102. A spring 106 biases valve poppet 104 upward so that an O-ring 108 disposed about valve poppet 104 engages housing 98. In this way, metering valve 96 is configured to be in a normally closed position where the vapor phase propellant is prevented from moving beyond valve poppet 104.
- Housing 98 may conveniently be divided into a bottom portion 110 and a top portion 112.
- metering valve 96 When metering valve 96 is in the closed position, the vapor phase propellant remains within bottom portion 110.
- metering valve 96 When metering valve 96 is opened, the vapor phase propellant rushes into top portion 112 and into a metering tube 114.
- the volume within top portion 112 and within metering tube 114 define a metering chamber 116.
- valve 66 At the opposite end of metering chamber 116 is valve 66 whose function is to prevent the escape of the pressurized gas from metering chamber 116 until valve actuator 68 is released as previously described.
- valve 66 When valve 66 is opened, the gas within metering chamber 116 rushes into passage 76 where it enters into aerosolization mechanism 50.
- valve actuator 118 is disposed over housing 98.
- Valve actuator 118 has a passage 120 which allows for the passage of gases between an interior 122 and metering tube 114.
- valve poppet 104 extends vertically above housing 98. In this way, when valve actuator 118 is moved downward, it will eventually engage valve poppet 104 to cause spring 106 to compress and to move O-ring 108 from housing 98. In this way, pressurized gas within bottom portion 110 may escape into metering chamber 116.
- top member 82 includes an opening 123 through which a bleed valve 124 is inserted.
- Bleed valve 124 may conveniently be constructed as a screw having an O-ring. Bleed valve 124 is opened when filling the cavity 88 with a liquid propellant.
- cavity 88 is filled by inserting the propellant through passage 102 of housing 98 as described in greater detail with reference to Fig. 15.
- base unit 36 includes a chassis 126 to which a frame 128 is coupled. Although not shown, a similar frame is also coupled to chassis 126 on the other side of base unit 36. Movably coupled to frames 128 are a left arm 130 and a right arm 132. Arms 130 and 132 are also shown in Figs. 13A and 13B, respectively. Arms 130 and 132 include a hole 134 through which a pin 136 is inserted as shown in Fig. 4.
- Pins 136 extend through slots (not shown) in frames 128 so that arms 130 and 132 may be moved vertically up and down relative to frames 128.
- Lever 48 is pivotally coupled between arms 130 and 132 by a pin 137.
- Lever 48 includes an extension 138 which engages bottom member 80 when lever 48 is pivoted. In so doing, lever 48 is moved away from bottom member 80 to move arms 130 and 132 vertically downward relative to frames 128.
- actuator arm 140 Also pivotally coupled to frame 128 is an actuator arm 140. As best shown in Fig. 4, a pin 142 is employed to pivotally couple actuator arm 140 to frame 128. Actuator arm 140 is also shown in Figs. 14A and 14B. As best shown in Figs. 14A and 14B, actuator arm 140 includes a slot 144 through which a pin 146 (see Fig. 13B) on right arm 132 moves when right arm 132 is moved relative to frame 128. In this way, movement of arm 132 relative to frame 128 causes actuator arm 140 to pivot about pin 142.
- valve set arm 148 engages a release valve set arm 148.
- Valve set arm 148 is configured to pivot with actuator arm 140. Further, valve set arm 148 is employed to move actuator arm 70 (see Fig. 3A) so that valve 66 may be held in a closed position until valve set arm 148 is moved to allow valve 66 to open.
- valve set arm 148 and actuator arm 70 may be configured to be essentially identical to similar components described in copending application serial number 60/087,929.
- Chassis 126 includes a boss 150 under which valve set arm 148 may be positioned to maintain valve 66 in the closed position.
- Valve set arm 148 is moved under boss 150 by moving lever 48, which causes valve set arm 148 to pivot until received under boss 150.
- valve 66 is in an over center position where it will remain closed until valve set arm 148 is moved out from under boss 150.
- Fire button 44 includes a tab 152 which engages a post 154 on valve set arm 148 when fire button 44 is depressed. As tab 152 pushes valve set arm 148 out from under boss 150, valve actuator arm 70 (see Fig. 3A) is allowed to move back away from its over center position, unclamping diaphragm 72. In this way, the pressurized gas within metering chamber 116 is allowed to unseat valve actuator 68 and rush into passage 76 as previously described.
- pin 136 also couples right arm 132 to valve actuator 118.
- Left arm 130 is coupled to valve actuator 118 in a similar manner.
- valve actuator 118 is moved downward to open valve 96 (see Fig. 3A).
- operation of lever 48 closes valve 66 and subsequently opens metering valve 96.
- the metering chamber may be filled with pressurized gas.
- metering valve 96 is closed so that the pressurized gas remains held within the metering chamber.
- base unit 36 has lever 48 in a home position. As previously described, in this position metering valve 96 is in its normally closed position. Assuming that fire button 44 was previously pressed, valve 66 is in its normally open position. As shown in Figs. 6 and 7, lever 48 is beginning to be moved away from its home position. In so doing, extension 138 engages bottom member 80 to move arms 130 and 132 downward. In turn, valve set arm 148 is moved underneath boss 150 to close valve 66. At the same time, valve actuator 118 is moved downward until it engages valve poppet 104 (see Fig. 7). As shown in Fig. 5, valve actuator 118 is spaced apart from valve poppet 104 when lever 48 is in home position. Hence, when reaching the position shown in Fig. 7, actuator 118 has not yet pushed valve poppet 104 downward. As such, valve 66 is closed before metering valve 96 is opened.
- lever 48 is fully pivoted, causing valve actuator 118 to force valve poppet 104 downward.
- metering valve 96 is opened to allow the pressurized gas within bottom portion 110 to escape into metering chamber 116.
- Lever 48 may then be moved back to the home position to close metering valve 96.
- valve set arm 148 remains under boss 150 so that the pressurized gas is held within metering chamber 116.
- Fire button 44 may then be depressed to open valve 66 to allow the powdered medicament to be aerosolized as previously described.
- an interlock may be provided to ensure that fire button 44 may not be actuated unless a receptacle has been placed in apparatus 34. In this way, the propellant is prevented from being released unless a receptacle is inserted.
- reservoir unit 78 to hold a propellant is that the overall size of base unit 36 may be reduced. At the same time, reservoir unit 78 is able to hold a sufficient volume of propellant so that many doses may be supplied to the patient.
- cavity 88 may be configured to hold about 2cc of HFC liquid. This will allow apparatus 34 to be actuated approximately 100 times using about 0.65cc of vapor per actuation.
- metering chamber 116 will preferably be configured to hold about 0.65cc of the HFC vapor.
- reservoir unit 78 and metering chamber 116 may be configured to hold other volumes of propellant.
- reservoir unit 78 may be replaced with a canister or other replaceable tank to facilitate easy replacement of the canister or tank when the propellant has been depleted.
- the source of propellant may be configured to be coupled to the aerosolization mechanism so that both can be removed and replaced once the propellant has been depleted.
- the pressure of the vapor phase portion held within metering chamber 116 is preferably in the range from about 40 psi to about 120 psi, and more preferably about 50 psi to about 80 psi.
- Configuring apparatus 34 to operate utilizing a wide range of pressures is advantageous in that the pressure of the HFC may vary depending upon the ambient temperature. As such, apparatus 34 may be used in a wide variety of environments and climates.
- Fig. 15 illustrates a filling unit 200 that may be employed to fill reservoir unit 78 (see Fig. 3) with a propellant.
- Filling unit 200 comprises a supply tank 202 to store the propellant. Coupled to tank 202 is a valve 204 that may be opened to allow the propellant to be transferred from tank 202.
- Tubing 206 extends from valve 204 and is configured to fit over metering valve housing 98 (see also Fig. 11).
- tubing 206 is placed over housing 98 and valve 204 is opened.
- the propellant passes through housing 98 and into cavity 88 (see Fig. 10A).
- Bleed valve 124 may be opened to provide a vent.
- apparatus 34 may include a visual display of the number of times the apparatus has been used and/or the number of times it may be used before requiring a propellant refill and/or replacement.
- a counting system may be coupled to the fire button 44 or lever 48 to count the number of actuations.
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Abstract
Description
- The present invention relates generally to the field of drug delivery, and in particular to the pulmonary delivery of drugs. More specifically, the invention relates to the aerosolization of pharmaceutical formulations for inhalation by a patient.
- Effective drug delivery to a patient is a critical aspect of any successful drug therapy. Various routes of delivery exist, and each has its own advantages and disadvantages. Oral drug delivery of pills, capsules, elixirs, and the like, is perhaps the most convenient method, but many drugs are degraded in the digestive tract before they can be absorbed. Such degradation is a particular problem with modem protein drugs which are rapidly degraded by proteolytic enzymes in the digestive tract. Subcutaneous injection is frequently an effective route for systemic drug delivery, including the delivery of proteins, but enjoys a low patient acceptance. Since injection of drugs, such as insulin, one or more times a day can frequently be a source of poor patient compliance, a variety of alternative routes of administration have also been developed, including transdermal, intranasal, intrarectal, intravaginal, and pulmonary delivery.
- Of particular interest to the present invention, pulmonary drug delivery relies on inhalation of a drug dispersion or aerosol by the patient so that the active drug within the dispersion can reach the distal (alveolar) regions of the lung. It has been found that certain drugs are readily absorbed through the alveolar region directly into blood circulation. Pulmonary delivery is particularly promising for the delivery of proteins and polypeptides which are difficult to deliver by other routes of administration. Such pulmonary delivery is effective both for systemic delivery and for localized delivery to treat diseases of the lungs.
- Pulmonary drug delivery (including both systemic and local) can itself be achieved by different approaches, including liquid nebulizers, metered dose inhalers (MDI's) and dry powder dispersion devices. Dry powder dispersion devices are particularly promising for delivering protein and polypeptide drugs which may be readily formulated as dry powders. Many otherwise labile proteins and polypeptides may be stably stored as lyophilized or spray-dried powders by themselves or in combination with suitable powder carriers. The ability to deliver proteins and polypeptides as dry powders, however, is problematic in certain respects. The dosage of many protein and polypeptide drugs is often critical so it is necessary that any dry powder delivery system be able to accurately, and precisely (repeatedly) deliver the intended amount of drug. Moreover, many proteins and polypeptides are quite expensive, typically being many times more costly than conventional drugs on a per-dose basis. Thus, the ability to efficiently deliver the dry powders to the target region of the lung with a minimal loss of drug is critical. It is further desirable that powder agglomerates present in the dry powder be sufficiently broken up prior to inhalation by the patient to assure effective systemic absorption or other pulmonary delivery.
- U.S. Patent Nos. 5,785,049 and 5,740,794 describe exemplary apparatus and methods for aerosolizing a powdered medicament held within a receptacle. These apparatus and methods utilize a high pressure gas stream to extract a powdered medicament from a receptacle and to disperse the powder into the gas stream to produce an aerosol. Such apparatus and methods have proven to be generally effective in producing aerosolized medicaments for delivery to the lungs.
- U.S. Patent No. 4,534,343 shows a typical metered dose inhaler where medication under pressure is stored in a canister. The drug is held in the pressurized liquid propellant that is held within the canister. The drug must be stable in this condition for the life of the system. This is undesirable for many labile medicaments such as proteins and peptides which may not be stable in this liquid for long periods of storage.
- Document US 4,114,615 discloses both a device for aerosolizing a liquid and a device for aerosolizing a powder composition.
- As described hereinafter, the invention provides alternative systems, devices and methods to aerosolize powder pharmaceutical formulations. In this way, alternative schemes are provided to assist in the delivery of powder pharmaceutical formulations to the lungs.
- The invention provides exemplary systems, methods and apparatus for aerosolizing powder pharmaceutical formulations that are typically contained within a receptacle. In a broad sense, the invention utilizes a propellant's energy to aerosolize a powder pharmaceutical formulation. The powder pharmaceutical formulation is stored separately from the propellant until aerosolized to prolong the life of the powder pharmaceutical formulation. The pharmaceutical formulation is in powder form, with the energy of the propellant being employed to place the formulation in aerosolized form so that it may be inhaled and delivered to the lungs. In one aspect, a vapor phase portion of a propellant that was previously in equilibrium with a liquid phase portion may be used to produce the aerosol.
- According to one exemplary method, a metered amount of a pressurized gas is provided which was previously in equilibrium with a liquid. For example, the pressurized gas may comprise a vapor phase portion of a propellant which was previously in equilibrium with a liquid phase portion of the propellant. The metered amount of gas is released to create a high pressure gas stream. This gas stream is then flowed through an aerosolization mechanism to extract the powder pharmaceutical formulation from the receptacle and to disperse the pharmaceutical formulation within the gas stream to form a aerosol, as claimed in claim 1.
- The propellant utilized by the method may comprise HFCs (hydrofluorocarbon), and in particular HFAs (hydrofluoroalkanes), such as HFC 134a or HFC 227ea. Other propellants that may be used include CO2 and CFCs (chlorofluorocarbons) 11, 12, and 114. Since CFCs have been identified as substances which deplete the stratospheric ozone layer, HFCs or HFAs are preferred. The pressurized gas is preferably metered to a volume in the range from about 0.5 ml to about 2.0 ml. The pressure of the metered gas is preferably in the range from about 2,76 bar (40 psig) to about 8,27 bar (120 psig), and more preferably from about 3,45 bar (50 psig) to about 5,52 bar (80 psig). When using CO2, the pressure of the metered gas is preferably in the range from about 55,2 bar (800 psig) to about 82,7 bar (1200 psig).
- To meter the gas, the gas is preferably allowed to flow into a metering chamber. Once filled, the chamber is closed to hold the pressurized gas within the chamber. To release the pressurized gas, a valve is opened to allow the gas to rapidly escape from the metering chamber.
- The invention further provides an exemplary apparatus for aerosolizing a powder pharmaceutical formulation held within a receptacle. The apparatus comprises a reservoir to hold a propellant having a liquid phase portion and a vapor phase portion. A metering chamber is positioned to receive and meter an amount of the vapor phase portion of the propellant. A release valve is provided to release the metered propellant to form a high pressure gas stream. The apparatus further includes an aerosolization mechanism to receive the high pressure gas stream, to extract the powder pharmaceutical formulation from the receptacle and to disperse the powder within the gas stream to form an aerosol, according to claim 5.
- In one aspect, a metering valve is disposed between the reservoir and the metering chamber. The metering valve is movable to an open position to allow the vapor phase portion of the propellant to enter into the metering chamber. Once the metering chamber is filled, the metering valve is preferably moved to a closed position. As one example, the metering valve may comprise a poppet valve which is pushed to move the valve to the open position. Once the chamber is filled, the poppet valve is released to allow the valve to move to the closed position.
- Conveniently, a lever may be provided which is movable to close the release valve and to open the metering valve. When the lever is moved back to its starting position, the metering valve closes while the release valve remains closed. In this way, the metered propellant remains held within the metering chamber. Preferably, a fire button is provided to open the release valve and allow the metered gas to escape. In one particular aspect, a housing is provided to hold the reservoir, the metering chamber and the aerosolization mechanism. Preferably, a capture chamber is operably coupled to the housing. The capture chamber includes a mouthpiece through which the aerosolized powder may be withdrawn.
- There is also disclosed a system for aerosolizing a pharmaceutical formulation. The system comprises a source of propellant which includes a vapor phase portion in equilibrium with a liquid phase portion. A pharmaceutical formulation is dispersed within at least a portion of the vapor phase portion of the propellant which has been separated from the liquid phase portion. Hence, with such a system a portion of a vapor propellant may be used as an energy source to aerosolize a pharmaceutical formulation.
-
- Fig. 1 is a schematic diagram of an exemplary system for aerosolizing a powder contained within a receptacle according to the invention.
- Fig. 2 is a right side view of one embodiment of an aerosolization apparatus according to the invention.
- Fig. 3 is a left side cross-sectional view of the apparatus of Fig. 2.
- Fig. 3A is a magnified view of a bottom half of the apparatus of Fig. 3.
- Fig. 4 is a bottom perspective view of a base unit of the apparatus of Fig. 2, with a cover being removed for convenience of illustration.
- Fig. 5 is a partial left side cross-sectional view of the base unit of Fig. 4.
- Fig. 6 illustrates the base unit of Fig. 4 with a lever moved to close the release valve.
- Fig. 7 illustrates the base unit of Fig. 5 with the lever in the position shown in Fig. 6.
- Fig. 8 illustrates the base unit of Fig. 7 with the lever moved to open a metering valve.
- Fig. 9 is a top perspective view of a bottom portion of a reservoir unit of the apparatus of Fig. 3.
- Fig. 10A is a bottom perspective view of a top portion of the reservoir unit.
- Fig. 10B is a top perspective view of the top portion of Fig. 10A.
- Fig. 11 is a top perspective view of a metering valve housing of the apparatus of Fig. 3.
- Fig. 12 is a top perspective view of an actuator for the metering valve of the apparatus of Fig. 3.
- Fig. 13A is a side view of a left arm of the base unit of Fig. 4.
- Fig. 13B is a side view of a right arm of the base unit of Fig. 4.
- Figs. 14A and 14B are rear and front views, respectively, of an actuator arm for the release valve of the base unit of Fig. 4.
- Fig. 15 illustrates a filling unit to refill the reservoir unit of Fig. 3.
- The invention provides exemplary apparatus and methods for aerosolizing powder pharmaceutical formulations. Examples of powdered medicaments that may be aerosolized according to the invention are described in PCT Publication No. WO96/32149. The powders aerosolized by the invention preferably have a size in the range from about 0.5 µm to about 50 µm, and more preferably in the range from about 0.5 µm to about 5 µm. Alternatively, not within the scope of the invention the pharmaceutical formulations may be in liquid form. The pharmaceutical formulations may be held in receptacles which have a puncturable access surface, and are sometimes referred to as "blister packages."
- The invention preferably utilizes a high-pressure gas stream to extract the powder from the receptacle and to aerosolize the powder so that it may be inhaled by a patient. Examples of aerosolization mechanisms which may be utilized with the invention include those described in U.S. Patent Nos. 5,785,049 and 5,740,794, and in copending U.S. provisional patent application
serial number 60/087,929, filed June 4, 1998. At least one of the specific embodiments described hereinafter utilizes an aerosolization mechanism as well as other related components which are constructed in a manner similar to those described in copending U.S. provisional patent applicationserial number 60/087,929. However, it will be appreciated that other types of aerosolization mechanisms which require the use of a high pressure gas stream to extract a powder from a receptacle and to entrain the powder within the gas stream may be utilized. - In one aspect, the invention utilizes energy from a propellant to aerosolize a powder pharmaceutical formulation. The propellant may include a vapor phase portion in equilibrium with a liquid phase portion. Some of the vapor phase portion may be extracted and employed as an energy source to aerosolize the powder pharmaceutical formulation. For example, the extracted vapor propellant may be employed to extract a powder from a receptacle, to deagglomerate the powder and to place the powder in a gas stream in aerosolized form.
- Referring now to Fig. 1, an
exemplary system 10 for aerosolizing a powder contained within areceptacle 12 will be described.System 10 comprises areservoir 14 which is filled with apropellant 16 having aliquid phase portion 18 and a vapor orgas phase portion 20. Extending from a top end ofreservoir 14 is aline 22 to which is coupled ametering valve 24. Also coupled tometering valve 24 is ametering chamber 26. Disposed at the other end ofmetering chamber 26 is arelease valve 28 to which is coupled aline 30.Line 30 extends to anaerosolization mechanism 32 which interacts withreceptacle 12 to extract and aerosolize the powder contained withinreceptacle 12. -
Propellant 16 is selected so thatvapor phase portion 20 is under pressure. Hence, whenmetering valve 24 is opened, the pressurized propellant enters intometering chamber 26.Release valve 28 is closed to prevent the pressurized propellant from proceeding intoaerosolization mechanism 32. Whenmetering chamber 26 is filled,metering valve 24 is closed to retain a metered amount of pressurized gas withinmetering chamber 26. Hence,metering chamber 26 is filled with a metered amount of gas which is at a pressure determined by the type of propellant as well as the temperature ofmetering chamber 26. - When it is desired to aerosolize the powder,
aerosolization mechanism 32 is inserted intoreceptacle 12 to gain access to the powder.Release valve 28 is then rapidly opened to abruptly release the metered gas withinmetering chamber 26. The metered gas passes throughline 30 and intoaerosolization mechanism 32 which extracts the powder fromreceptacle 12 and entrains the powder in a high pressure gas stream to form an aerosol. The aerosol may be captured in a capture chamber so that it will be available for inhalation by a patient. - Hence,
system 10 is configured to operate simply by releasing a metered amount of pressurized gas which was obtained by extracting a vapor phase portion of a propellant that was previously in equilibrium with a liquid phase portion.System 10 is configured to meter a fixed volume of the gas at a fixed pressure. In this way,aerosolization mecharusm 32 is able to consistently receive a known volume of gas which is at a known pressure so that it may optimally extract and aerosolize the powder withinreceptacle 12 With such a configuration, a variety of advantages are provided. For example,system 10 is easy to operate because it only requires the opening ofmetering valve 24 when metering the gas, and the opening ofrelease valve 28 to aerosolize the powder. Another advantage is that the size ofsystem 10 may be reduced by utilizing a propellant. Typically, only a small volume of propellant is needed so that the size ofreservoir 14 may be made relatively small. Such a configuration reduces the overall size ofsystem 10 so that it will be easy and convenient for a user to carry and store. Typically,system 10 will have a longer life than comparable MDI devices becausesystem 10 employs only a vapor phase portion of the propellant to aerosolize the powder rather than the liquid phase as with MDI devices. Further,system 10 is more simple to manufacture and easier to use (because the patient is not required to shake the propellant) than comparable MDI devices since it does not require a drug to be suspended within the liquid phase portion of the propellant. - Preferable propellants that may be utilized with
system 10 include HFA or HFC, such as hydrofluorocarbon 134a (HFC-134a, 1,1,2-tetrafluoroethane) and hydrofluorocarbon 227ea (HFC-227ea, 1,1,1,2,3,3,3-heptafluoropropane). These propellants are known in the art and are commercially available from the Minnesota Mining & Manufacturing Co. and Dupont. Such propellants are particularly useful in that they do not utilize CFCs. Other propellants that may be used with the invention include CO2 CFCs, and the like. - Referring now to Fig. 2, an exemplary embodiment of an
apparatus 34 for aerosolizing a powder medicament will be described.Apparatus 34 comprises abase unit 36 and acapture chamber 38 which is removably attached tobase unit 36.Capture chamber 38 is configured to slide overbase unit 36 to reduce the overall size ofapparatus 34 during storage and to provide a degree of protection to the components withinbase unit 36.Capture chamber 38 also includes amouthpiece 40 that is rotatable between an open position and a closed position. During aerosolization,mouthpiece 40 is in the closed position as illustrated in Fig. 2. When the patient is ready to inhale the aerosolized medicament,mouthpiece 40 is rotated 180 degrees to the open position where the patient may place his mouth over the mouthpiece and inhale the powdered medicament fromcapture chamber 38. - While their size is smaller, the overall shape and appearance of
capture chamber 38 andbase unit 36 are similar to those described incopending application number 60/087,929. By utilizing a propellant to aerosolize a medicament,base unit 36 does not require a cylinder to compress air from a large volume and does not require a lever which fits the patient's hand to provide the energy for compressing the gas. Hence,base unit 36 may have its size reduced. Merely by way of example,base unit 36 may have a height that is in the range from about 8 cm to 12 cm.Capture chamber 38 may have a height in the range from about 9 cm to about 13 cm. - Still referring to Fig. 2,
base unit 36 includes anopening 42 into which a receptacle containing a powdered medicament is inserted.Base unit 36 also includes afire button 44 which is pressed to pierce the receptacle and to release a volume of pressurized gas to aerosolize the medicament in the receptacle as described hereinafter. Arelease button 46 is provided to allow the receptacle to be removed from opening 42 after the medicament has been aerosolized.Base unit 36 further includes alever 48 which may be operated to meter an amount of pressurized gas as described hereinafter. - Referring now to Figs. 3 and 3A, the components within
base unit 36 will be described. Disposed withinbase unit 36 is anaerosolization mechanism 50 which is employed to extract a medicament from areceptacle 52, to entrain the medicament within a high pressure gas stream, and to deliver the aerosolized medicament intocapture chamber 38.Base unit 36 also includes acarriage assembly 54 which movesreceptacle 52 to engageaerosolization mechanism 50 whenfire button 44 is pressed.Aerosolization mechanism 50,carriage assembly 54, and their related components are constructed essentially identical to those described incopending application number 60/087,929. As such, their manner of construction will only be briefly described in this application. - To operate
apparatus 34,receptacle 52 is inserted into opening 42 (see Fig. 2) as previously described.Fire button 44 is then pushed to engagereceptacle 52 withaerosolization mechanism 50. More specifically, whenfire button 44 is pushed,gear teeth 56 are pivoted about apivot pin 58, causing alifter 60 ofcarriage assembly 54 to movereceptacle 52 towardaerosolization mechanism 50. Whenfire button 44 is fully depressed, apointed tip 62 and side punches 64 pierce throughreceptacle 52 and enter into the receptacle. Depression offire button 44 also operates avalve 66 to allow for the release of a metered volume of high pressure gas intoaerosolization mechanism 50 so that the powder withinreceptacle 52 may be aerosolized. More specifically, depression offire button 44 causes avalve actuator 68 of anactuator arm 70 to be released from an over center position, thereby unlockingvalve 66. - Once
valve 66 is unlocked, the metered amount of high pressure gas withinbase unit 36 causesvalve 66 to "pop open." More specifically, the release ofvalve actuator 68 causes the metered amount of high pressurized gas to come into contact with the underside of thediaphragm 72 causing avalve seat 74 to be lifted from apassage 76. In this manner, the propellant is allowed to flow throughpassage 76 and intoaerosolization mechanism 50. The high pressurized gas then extracts the powdered medicament fromreceptacle 52, deagglomerates the powdered medicament and disperses the powdered medicament intocapture chamber 38 as previously described. Hence, to operateapparatus 34, the user simply insertsreceptacle 52 and then pressesfire button 44 which will cause the aerosolized medicament to be introduced intocapture chamber 38 where it may be withdrawn throughmouthpiece 40. - Still referring to Figs. 3 and 3A, the manner in which the pressurized gas which is supplied to
aerosolization mechanism 50 throughvalve 66 will be described.Base unit 36 includes areservoir unit 78 which is constructed of abottom member 80 and atop member 82.Bottom member 80 is also shown in Fig. 9, andtop member 82 is shown in Figs. 10A and 10B.Bottom member 80 includes anopening 84 andtop member 82 includes anopening 86. Whentop member 82 is secured tobottom member 80,openings cavity 88 which holds the propellant. Conveniently,top member 82 includesgroove 90 for holding an O-ring seal 92 so that the propellant does not escape fromcavity 88. Traveling throughbottom member 80 is apassage 94.Cavity 88 is configured such that it may hold a liquid phase portion of the propellant in equilibrium with a vapor phase portion. The vapor phase portion of the propellant extends intopassage 94 where it is prevented from escaping by ametering valve 96. - As also shown in Fig. 11,
metering valve 96 includes ahousing 98 which is received into anopening 100 of bottom member 80 (see Fig. 9).Housing 98 has acentral passage 102 which communicates withpassage 94 ofbottom member 80. As best shown in Figs. 3 and 3A, avalve poppet 104 is positioned withinpassage 102. Aspring 106biases valve poppet 104 upward so that an O-ring 108 disposed aboutvalve poppet 104 engageshousing 98. In this way,metering valve 96 is configured to be in a normally closed position where the vapor phase propellant is prevented from moving beyondvalve poppet 104. -
Housing 98 may conveniently be divided into abottom portion 110 and atop portion 112. Whenmetering valve 96 is in the closed position, the vapor phase propellant remains withinbottom portion 110. Whenmetering valve 96 is opened, the vapor phase propellant rushes intotop portion 112 and into ametering tube 114. As such, the volume withintop portion 112 and withinmetering tube 114 define ametering chamber 116. At the opposite end ofmetering chamber 116 isvalve 66 whose function is to prevent the escape of the pressurized gas frommetering chamber 116 untilvalve actuator 68 is released as previously described. Whenvalve 66 is opened, the gas withinmetering chamber 116 rushes intopassage 76 where it enters intoaerosolization mechanism 50. - As best shown in Figs. 3, 4 and 12, a
valve actuator 118 is disposed overhousing 98.Valve actuator 118 has apassage 120 which allows for the passage of gases between an interior 122 andmetering tube 114. As best shown in Figs. 3 and 3A,valve poppet 104 extends vertically abovehousing 98. In this way, whenvalve actuator 118 is moved downward, it will eventually engagevalve poppet 104 to causespring 106 to compress and to move O-ring 108 fromhousing 98. In this way, pressurized gas withinbottom portion 110 may escape intometering chamber 116. - As best shown in Figs. 4 and 10A,
top member 82 includes anopening 123 through which ableed valve 124 is inserted. Bleedvalve 124 may conveniently be constructed as a screw having an O-ring. Bleedvalve 124 is opened when filling thecavity 88 with a liquid propellant. Preferably,cavity 88 is filled by inserting the propellant throughpassage 102 ofhousing 98 as described in greater detail with reference to Fig. 15. - Referring now to Figs. 4 and 5, construction of
base unit 36 to facilitate opening and closing ofvalves 66 and 96 (See Fig. 3A) will be described. As best shown in Fig. 4,base unit 36 includes achassis 126 to which aframe 128 is coupled. Although not shown, a similar frame is also coupled tochassis 126 on the other side ofbase unit 36. Movably coupled toframes 128 are aleft arm 130 and aright arm 132.Arms Arms hole 134 through which apin 136 is inserted as shown in Fig. 4.Pins 136 extend through slots (not shown) inframes 128 so thatarms Lever 48 is pivotally coupled betweenarms pin 137.Lever 48 includes anextension 138 which engagesbottom member 80 whenlever 48 is pivoted. In so doing,lever 48 is moved away frombottom member 80 to movearms - Also pivotally coupled to
frame 128 is anactuator arm 140. As best shown in Fig. 4, apin 142 is employed to pivotally coupleactuator arm 140 to frame 128.Actuator arm 140 is also shown in Figs. 14A and 14B. As best shown in Figs. 14A and 14B,actuator arm 140 includes aslot 144 through which a pin 146 (see Fig. 13B) onright arm 132 moves whenright arm 132 is moved relative to frame 128. In this way, movement ofarm 132 relative to frame 128 causesactuator arm 140 to pivot aboutpin 142. - As best shown in Fig. 4,
actuator arm 140 engages a release valve setarm 148. Valve setarm 148 is configured to pivot withactuator arm 140. Further, valve setarm 148 is employed to move actuator arm 70 (see Fig. 3A) so thatvalve 66 may be held in a closed position until valve setarm 148 is moved to allowvalve 66 to open. Conveniently, valve setarm 148 andactuator arm 70 may be configured to be essentially identical to similar components described in copending applicationserial number 60/087,929. -
Chassis 126 includes aboss 150 under which valve setarm 148 may be positioned to maintainvalve 66 in the closed position. Valve setarm 148 is moved underboss 150 by movinglever 48, which causes valve setarm 148 to pivot until received underboss 150. At this position,valve 66 is in an over center position where it will remain closed until valve setarm 148 is moved out from underboss 150. -
Fire button 44 includes atab 152 which engages apost 154 on valve setarm 148 whenfire button 44 is depressed. Astab 152 pushes valve setarm 148 out from underboss 150, valve actuator arm 70 (see Fig. 3A) is allowed to move back away from its over center position, unclampingdiaphragm 72. In this way, the pressurized gas withinmetering chamber 116 is allowed to unseatvalve actuator 68 and rush intopassage 76 as previously described. - As best shown in Fig. 4, pin 136 also couples
right arm 132 tovalve actuator 118.Left arm 130 is coupled tovalve actuator 118 in a similar manner. In this way, whenlever 48 is moved,valve actuator 118 is moved downward to open valve 96 (see Fig. 3A). Hence, operation oflever 48 closesvalve 66 and subsequently opensmetering valve 96. In this way, the metering chamber may be filled with pressurized gas. Aslever 48 is moved back,metering valve 96 is closed so that the pressurized gas remains held within the metering chamber. - As shown in Figs. 4 and 5,
base unit 36 haslever 48 in a home position. As previously described, in thisposition metering valve 96 is in its normally closed position. Assuming thatfire button 44 was previously pressed,valve 66 is in its normally open position. As shown in Figs. 6 and 7,lever 48 is beginning to be moved away from its home position. In so doing,extension 138 engagesbottom member 80 to movearms arm 148 is moved underneathboss 150 to closevalve 66. At the same time,valve actuator 118 is moved downward until it engages valve poppet 104 (see Fig. 7). As shown in Fig. 5,valve actuator 118 is spaced apart fromvalve poppet 104 whenlever 48 is in home position. Hence, when reaching the position shown in Fig. 7,actuator 118 has not yet pushedvalve poppet 104 downward. As such,valve 66 is closed beforemetering valve 96 is opened. - As shown in Fig. 8,
lever 48 is fully pivoted, causingvalve actuator 118 to forcevalve poppet 104 downward. In so doing,metering valve 96 is opened to allow the pressurized gas withinbottom portion 110 to escape intometering chamber 116.Lever 48 may then be moved back to the home position to closemetering valve 96. Aslever 48 is moved back to the home position, valve setarm 148 remains underboss 150 so that the pressurized gas is held withinmetering chamber 116.Fire button 44 may then be depressed to openvalve 66 to allow the powdered medicament to be aerosolized as previously described. Although not shown, an interlock may be provided to ensure thatfire button 44 may not be actuated unless a receptacle has been placed inapparatus 34. In this way, the propellant is prevented from being released unless a receptacle is inserted. - One advantage of utilizing
reservoir unit 78 to hold a propellant is that the overall size ofbase unit 36 may be reduced. At the same time,reservoir unit 78 is able to hold a sufficient volume of propellant so that many doses may be supplied to the patient. Merely by way of example,cavity 88 may be configured to hold about 2cc of HFC liquid. This will allowapparatus 34 to be actuated approximately 100 times using about 0.65cc of vapor per actuation. As such,metering chamber 116 will preferably be configured to hold about 0.65cc of the HFC vapor. However, it will appreciated thatreservoir unit 78 andmetering chamber 116 may be configured to hold other volumes of propellant. - Although shown with
reservoir unit 78, it will be appreciated that alternative embodiments of propellant sources may be provided. For example,reservoir unit 78 may be replaced with a canister or other replaceable tank to facilitate easy replacement of the canister or tank when the propellant has been depleted. Because it is desirable to periodically replaceaerosolization mechanism 50, the source of propellant may be configured to be coupled to the aerosolization mechanism so that both can be removed and replaced once the propellant has been depleted. - When utilizing HFA as the propellant, the pressure of the vapor phase portion held within
metering chamber 116 is preferably in the range from about 40 psi to about 120 psi, and more preferably about 50 psi to about 80 psi.Configuring apparatus 34 to operate utilizing a wide range of pressures is advantageous in that the pressure of the HFC may vary depending upon the ambient temperature. As such,apparatus 34 may be used in a wide variety of environments and climates. - Fig. 15 illustrates a
filling unit 200 that may be employed to fill reservoir unit 78 (see Fig. 3) with a propellant. Fillingunit 200 comprises asupply tank 202 to store the propellant. Coupled totank 202 is avalve 204 that may be opened to allow the propellant to be transferred fromtank 202.Tubing 206 extends fromvalve 204 and is configured to fit over metering valve housing 98 (see also Fig. 11). - In use,
tubing 206 is placed overhousing 98 andvalve 204 is opened. The propellant passes throughhousing 98 and into cavity 88 (see Fig. 10A). Bleedvalve 124 may be opened to provide a vent. - Optionally,
apparatus 34 may include a visual display of the number of times the apparatus has been used and/or the number of times it may be used before requiring a propellant refill and/or replacement. Conveniently, a counting system may be coupled to thefire button 44 orlever 48 to count the number of actuations. - The invention has now been described in detail for purposes of clarity of understanding. However, it will be appreciated that certain changes and modifications may be practiced within the scope of the appended claims.
Claims (11)
- A method for aerosolizing a powder pharmaceutical formulation contained within a receptacle (12), comprising:providing a metered amount of a pressurized gas that was previously in equilibrium with a liquid;releasing the metered gas to create a high pressure gas stream; and flowing the high pressure gas stream through an aerosolization mechanism (32) which in operation is engaged with the receptacle (12) and is adapted to receive the high pressure gas stream such that the high pressure gas stream flows part the receptacle thereby extracting the powder pharmaceutical formulation by drawing it from the receptacle (12) and to disperse the powder pharmaceutical formulation within the gas stream to form an aerosol, wherein the powder pharmaceutical formulation is not administered to a human or animal body.
- A method as in claim 1, wherein the pressurized gas comprises HFC.
- A method as in claim 1 or 2, wherein the powder pharmaceutical formulation is in dry powder form.
- A method as in any of claims 1 to 3, further comprising opening a valve (28) to release the pressurized gas.
- An apparatus for aerosolizing a powder pharmaceutical formulation the apparatus comprising:a receptacle (12) containing the powder pharmaceutical formulation;a reservoir (14) which is adapted to hold a propellant (16) having in equilibrium a liquid phase portion and a vapor phase portion;a metering chamber (26) which is adapted to receive an amount of the vapor phase portion of the propellant (16);a release valve (28) which is adapted to release the metered propellant (16) to form a high pressure gas stream; andan aerosolization mechanism (32) which in operation is engaged with the receptacle (12) and is adapted to receive the high pressure gas stream such that the high pressure gas stream flows part the receptacle thereby extracting the powder pharmaceutical formulation by drawing it from the receptacle (12) and to disperse the powder pharmaceutical formulation within the gas stream to form an aerosol.
- An apparatus as in claim 5, further comprising a metering valve (24) disposed between the reservoir (14) and the metering chamber (26), wherein the metering valve (24) is movable to an open position to allow the vapor phase portion of the propellant (16) to enter the metering chamber (26).
- An apparatus as in claim 6, further comprising a lever which is moveable to close the release valve (28) and to open the metering valve (24).
- An apparatus as in any of claims 5 to 7, further comprising a fire button to open the release valve.
- An apparatus as in any of claims 5 to 8, further comprising a housing to hold the reservoir (12) the metering chamber (26) and the aerosolization mechanism (32).
- An apparatus as in claim 9, further comprising a capture chamber operably coupled to the housing, wherein the capture chamber includes a mouthpiece.
- An apparatus as in claim 6, wherein the metering valve (24) comprises a poppet valve which is pushed to move the valve to the open position.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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EP06013138A EP1702639B1 (en) | 1999-05-28 | 2000-05-24 | Apparatus for dispensing metered amount of aerosolized medication |
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
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US13651899P | 1999-05-28 | 1999-05-28 | |
US136518P | 1999-05-28 | ||
US55626200A | 2000-04-24 | 2000-04-24 | |
US556262 | 2000-04-24 | ||
PCT/US2000/014227 WO2000072904A1 (en) | 1999-05-28 | 2000-05-24 | Apparatus and method for dispensing metered amount of aerosolized medication |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
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EP06013138A Division EP1702639B1 (en) | 1999-05-28 | 2000-05-24 | Apparatus for dispensing metered amount of aerosolized medication |
Publications (2)
Publication Number | Publication Date |
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EP1181069A1 EP1181069A1 (en) | 2002-02-27 |
EP1181069B1 true EP1181069B1 (en) | 2006-06-28 |
Family
ID=26834378
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP00936239A Expired - Lifetime EP1181069B1 (en) | 1999-05-28 | 2000-05-24 | Apparatus and method for aerosolising a powder pharmaceutical composition |
Country Status (13)
Country | Link |
---|---|
EP (1) | EP1181069B1 (en) |
JP (1) | JP4377076B2 (en) |
KR (1) | KR100813784B1 (en) |
AT (2) | ATE422924T1 (en) |
AU (1) | AU764541B2 (en) |
CA (1) | CA2375680C (en) |
CY (1) | CY1105401T1 (en) |
DE (2) | DE60041610D1 (en) |
DK (1) | DK1181069T3 (en) |
ES (1) | ES2265944T3 (en) |
MX (1) | MXPA01012246A (en) |
PT (1) | PT1181069E (en) |
WO (1) | WO2000072904A1 (en) |
Families Citing this family (28)
Publication number | Priority date | Publication date | Assignee | Title |
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US20060165606A1 (en) | 1997-09-29 | 2006-07-27 | Nektar Therapeutics | Pulmonary delivery particles comprising water insoluble or crystalline active agents |
US7871598B1 (en) | 2000-05-10 | 2011-01-18 | Novartis Ag | Stable metal ion-lipid powdered pharmaceutical compositions for drug delivery and methods of use |
US6668827B2 (en) | 2000-05-16 | 2003-12-30 | Nektar Therapeutics | Systems devices and methods for opening receptacles having a powder to be fluidized |
US7905230B2 (en) | 2001-05-09 | 2011-03-15 | Novartis Ag | Metered dose inhaler with lockout |
US7368102B2 (en) | 2001-12-19 | 2008-05-06 | Nektar Therapeutics | Pulmonary delivery of aminoglycosides |
JP4739672B2 (en) | 2001-12-21 | 2011-08-03 | ネクター セラピューティクス | Capsule package with moisture barrier |
US6941980B2 (en) | 2002-06-27 | 2005-09-13 | Nektar Therapeutics | Apparatus and method for filling a receptacle with powder |
US7516741B2 (en) | 2002-12-06 | 2009-04-14 | Novartis Ag | Aerosolization apparatus with feedback mechanism |
US7669596B2 (en) | 2002-12-31 | 2010-03-02 | Novartis Pharma Ag | Aerosolization apparatus with rotating capsule |
PL1615689T3 (en) | 2003-04-09 | 2016-06-30 | Novartis Ag | Aerosolization apparatus with capsule puncture alignment guide |
US8869794B1 (en) | 2003-04-09 | 2014-10-28 | Novartis Pharma Ag | Aerosolization apparatus with capsule puncturing member |
PT1610850E (en) | 2003-04-09 | 2012-06-15 | Novartis Ag | Aerosolization apparatus with air inlet shield |
US8513204B2 (en) | 2004-06-21 | 2013-08-20 | Novartis Ag | Compositions comprising amphotericin B, mehods and systems |
BRPI0512326A (en) | 2004-06-21 | 2008-02-26 | Nektar Therapeutics | compositions comprising amphotericin b, methods and systems |
MX2010012452A (en) | 2008-05-15 | 2011-03-15 | Novartis Ag Star | Pulmonary delivery of a fluoroquinolone. |
EP3552603B1 (en) | 2009-03-18 | 2024-11-06 | Incarda Therapeutics, Inc. | Unit doses, aerosols, kits, and methods for treating heart conditions by pulmonary administration |
JOP20120023B1 (en) | 2011-02-04 | 2022-03-14 | Novartis Ag | Dry powder formulations of particles that contain two or more active ingredients for treating obstructive or inflammatory airways diseases |
US9452139B2 (en) | 2013-03-14 | 2016-09-27 | Novartis Ag | Respirable agglomerates of porous carrier particles and micronized drug |
CN105209013B (en) | 2013-03-14 | 2019-04-26 | 诺华股份有限公司 | Spray dried formulations are decrystallized through taking off for mixing by spraying |
EP3411030A4 (en) | 2016-02-01 | 2019-09-04 | InCarda Therapeutics, Inc. | Combining electronic monitoring with inhaled pharmacological therapy to manage cardiac arrhythmias including atrial fibrillation |
CN110869018A (en) | 2017-05-10 | 2020-03-06 | 英凯达治疗公司 | Unit dose, aerosol, kit and method for treating a cardiac condition by pulmonary administration |
JP7165146B2 (en) | 2017-05-22 | 2022-11-02 | インスメッド インコーポレイテッド | Glycopeptide derivative compounds and their uses |
US10744087B2 (en) | 2018-03-22 | 2020-08-18 | Incarda Therapeutics, Inc. | Method to slow ventricular rate |
US11020384B2 (en) | 2019-08-01 | 2021-06-01 | Incarda Therapeutics, Inc. | Antiarrhythmic formulation |
KR102182794B1 (en) * | 2019-09-04 | 2020-11-25 | (주)코스메디션 | Method for preparing resveratrol and ferulic acid homogenizing composition using ultrasonic emulsification and high pressure gas injection |
EP4304582A1 (en) | 2021-03-12 | 2024-01-17 | Alvarius Pharmaceuticals Ltd. | Compositions and methods for treating addictions comprising 5-meo-dmt |
KR102675542B1 (en) * | 2021-09-01 | 2024-06-14 | 주식회사 케이티앤지 | Aerosol generator |
KR20240036847A (en) * | 2022-09-14 | 2024-03-21 | 주식회사 케이티앤지 | Inhaler |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3616971A (en) * | 1970-02-24 | 1971-11-02 | Precision Valve Corp | Dispenser and metering valve therefor |
SE408265B (en) * | 1975-12-12 | 1979-06-05 | Draco Ab | DEVICE FOR CARBON DIOXIDE POWERED ENDOSAEROSOL, INTENDED FOR INHALATION |
US4999976A (en) * | 1989-08-03 | 1991-03-19 | The Kartridg Pak Co. | Means and method for ultrasonic gassing of aerosols |
GB9414236D0 (en) * | 1994-07-14 | 1994-08-31 | V A R I S P A | Aerosol metering valves |
US5875776A (en) * | 1996-04-09 | 1999-03-02 | Vivorx Pharmaceuticals, Inc. | Dry powder inhaler |
US6003512A (en) * | 1997-11-13 | 1999-12-21 | Lovelace Respiratory Research Institute | Dust gun-aerosol generator and generation |
US6105929A (en) * | 1997-11-14 | 2000-08-22 | Salter Labs | Control valve for gas supply to a nebulizer |
-
2000
- 2000-05-24 DK DK00936239T patent/DK1181069T3/en active
- 2000-05-24 MX MXPA01012246A patent/MXPA01012246A/en active IP Right Grant
- 2000-05-24 AT AT06013138T patent/ATE422924T1/en not_active IP Right Cessation
- 2000-05-24 DE DE60041610T patent/DE60041610D1/en not_active Expired - Lifetime
- 2000-05-24 WO PCT/US2000/014227 patent/WO2000072904A1/en active IP Right Grant
- 2000-05-24 AU AU51585/00A patent/AU764541B2/en not_active Ceased
- 2000-05-24 KR KR1020017015105A patent/KR100813784B1/en not_active IP Right Cessation
- 2000-05-24 AT AT00936239T patent/ATE331544T1/en active
- 2000-05-24 JP JP2000621009A patent/JP4377076B2/en not_active Expired - Fee Related
- 2000-05-24 EP EP00936239A patent/EP1181069B1/en not_active Expired - Lifetime
- 2000-05-24 ES ES00936239T patent/ES2265944T3/en not_active Expired - Lifetime
- 2000-05-24 CA CA2375680A patent/CA2375680C/en not_active Expired - Fee Related
- 2000-05-24 DE DE60029099T patent/DE60029099T2/en not_active Expired - Lifetime
- 2000-05-24 PT PT00936239T patent/PT1181069E/en unknown
-
2006
- 2006-09-14 CY CY20061101320T patent/CY1105401T1/en unknown
Also Published As
Publication number | Publication date |
---|---|
DE60041610D1 (en) | 2009-04-02 |
DE60029099T2 (en) | 2007-01-11 |
AU5158500A (en) | 2000-12-18 |
PT1181069E (en) | 2006-11-30 |
DE60029099D1 (en) | 2006-08-10 |
DK1181069T3 (en) | 2006-10-09 |
KR20020016632A (en) | 2002-03-04 |
CA2375680A1 (en) | 2000-12-07 |
AU764541B2 (en) | 2003-08-21 |
CY1105401T1 (en) | 2010-04-28 |
ATE331544T1 (en) | 2006-07-15 |
WO2000072904A1 (en) | 2000-12-07 |
KR100813784B1 (en) | 2008-03-13 |
ES2265944T3 (en) | 2007-03-01 |
EP1181069A1 (en) | 2002-02-27 |
MXPA01012246A (en) | 2002-08-12 |
JP4377076B2 (en) | 2009-12-02 |
JP2003500176A (en) | 2003-01-07 |
CA2375680C (en) | 2010-01-26 |
ATE422924T1 (en) | 2009-03-15 |
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